7Risk Axes

National percentile · lower = less risk · staffing gap is context only (not in composite)

How we calculate
SeverityElevated

95th national percentile — 20.0% high-severity citations

ChronicityWatch

66th national percentile — 8 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

15 citations

Weekend staffing dropWatch

69th national percentile — 18.1%

Contract staff shareElevated

74th national percentile — 6.1%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapModerate

Reported 3.36 vs expected 3.44 · −0.08 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

30 citations on file
F-0755
K
Provide pharmaceutical services to meet the needs of each resident and e…
Actual Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Dec 21, 2025 · Pattern — immediate jeopardy
F-0760
K
Ensure that residents are free from significant medication errors
Actual Harm

Ensure that residents are free from significant medication errors.

Survey date: Dec 21, 2025 · Pattern — immediate jeopardy
F-0585
D
Honor the resident's right to voice grievances without discrimination or…
Minimal Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey date: Nov 19, 2025 · Isolated — no actual harm with potential for more
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Nov 19, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

15 citations on file
F-0353
C
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Mar 20, 2025 · Widespread — no actual harm
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Feb 15, 2024 · Widespread — no actual harm with potential for more
F-0211
E
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Feb 15, 2024 · Pattern — no actual harm with potential for more
F-0355
F
Properly select, install, inspect, or maintain portable fire extinguishe…
Potential Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Feb 15, 2024 · Widespread — no actual harm with potential for more

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
GRAPEVINE MEDICAL LODGE
4.5 km · GRAPEVINE, TX
★★★★★
CMS
30th
Risk %ile
Lower risk
Cross Timbers Rehabilitation and Healthcare Center
14.7 km · Flower Mound, TX
★★★
CMS
34th
Risk %ile
Lower risk
Avir at Irving
20.3 km · IRVING, TX
★★★★
CMS
37th
Risk %ile
Lower risk